Rachel A Grigoletti, CRNA
Nurse Anesthetist, Certified Registered in Peoria, IL. Individual provider (NPI-1).
NPI number1629720248
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1629720248
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rachel A Grigoletti
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2022
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209024704 | IL | Yes |
Other names
- Rachel Andrews (Other Name)
Practice location
6742 N Frostwood PkwyPeoria, IL 61615-2402
Phone 309-692-5393 · Fax 309-683-9998
Mailing address
6742 N Frostwood PkwyPeoria, IL 61615-2402
Phone 309-692-5393 · Fax 309-683-9998
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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